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Products found: 19

DIN/ PIN/ NPN	Generic Name	Brand Name, Strength & Dosage Form	MFR	Drug Benefit Price or Unit Price	Amount MOH Pays	Inter- change- able	Limited Use	Thera- peutic Notes
02502674	ADALIMUMAB	Idacio 40mg/0.8mL Inj Sol-0.8mL Pref Pen (Preservative-Free)	FKC	471.2700	471.2700	NO	YES	NO
02502682	ADALIMUMAB	Idacio 40mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	FKC	471.2700	471.2700	NO	YES	NO
02486997	CASPOFUNGIN	Caspofungin for Injection (Off-Formulary Interchangeable) 70mg/Vial Inj Pd-Vial Pk	FKC	222.5000	222.5000	YES	NO	NO
02486989	CASPOFUNGIN ACETATE	Caspofungin for Injection (Off-Formulary Interchangeable) 50mg/Vial Inj-Vial Pk	FKC	222.5000	222.5000	YES	NO	NO
02532247	ENOXAPARIN	Elonox 30mg/0.3mL Inj Sol-0.3mL Pref Syr (Preservative-Free)	FKC	4.9124	4.9124	NO	NO	NO
02532255	ENOXAPARIN	Elonox 40mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)	FKC	6.5498	6.5498	NO	NO	NO
02532263	ENOXAPARIN	Elonox 60mg/0.6mL Inj Sol-0.6mL Pref Syr (Preservative-Free)	FKC	9.8248	9.8248	NO	NO	NO
02532271	ENOXAPARIN	Elonox 80mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	FKC	13.0997	13.0997	NO	NO	NO
02532301	ENOXAPARIN	Elonox HP 120mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)	FKC	19.6495	19.6495	NO	NO	NO
02532298	ENOXAPARIN	Elonox 100mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	FKC	16.3746	16.3746	NO	NO	NO
02532328	ENOXAPARIN	Elonox HP 150mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)	FKC	24.5619	24.5619	NO	NO	NO
02404761	GANCICLOVIR SODIUM	Ganciclovir for Injection (Temporary Benefit) 500mg/Vial Pd for Sol-10mL Vial Pk	FKC	44.5480	44.5480	NO	NO	NO
02242905	MIDAZOLAM	Midazolam Injection 5mg/mL Inj Sol (with Preservative)	FKC	4.1000	4.1000	YES	YES	NO
02246599	PAMIDRONATE DISODIUM	Pamidronate Disodium for Injection (Off-Formulary Interchangeable) 9mg/mL Inj Sol-10mL Vial	FKC	260.3300	260.3300	YES	NO	NO
02246598	PAMIDRONATE DISODIUM	Pamidronate Disodium for Injection (Off-Formulary Interchangeable) 6mg/mL Inj Sol-10mL Vial	FKC	176.7000	176.7000	YES	NO	NO
02246597	PAMIDRONATE DISODIUM	Pamidronate Disodium for Injection (Off-Formulary Interchangeable) 3mg/mL Inj Sol-10mL Vial	FKC	86.7800	86.7800	YES	NO	NO
02396963	SOYBEAN OIL & MEDIUM CHAIN TRIGLYCERIDES & OLIVE OIL & FISH OIL	SMOFLipid 20% 6% & 6% & 5% & 3% w/v Inj Emuls-250mL Pk	FKC	27.5000	27.5000	NO	YES	NO
09857595	SOYBEAN OIL & MEDIUM CHAIN TRIGLYCERIDES & OLIVE OIL & FISH OIL	SMOFLipid 20% 6% & 6% & 5% & 3% w/v Inj Emuls-500mL Pk	FKC	33.3300	33.3300	NO	YES	NO
02434458	ZOLEDRONIC ACID	Zoledronic Acid for Injection (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)	FKC	415.5600	415.5600	YES	NO	NO